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A cluster randomised controlled trial on the short- and long-term impact of a brief educational intervention aimed at optimizing paediatric medical officers’ management of snake bite envenomations compared to standard practice in selected resource-limited paediatric treatment facilities in rural Sri Lanka

A cluster randomized controlled trial on the short- and long-term impact of a brief educational intervention aimed at optimizing paediatric medical officers’ management of snake bite envenomations compared to standard practice in selected resource-limited paediatric treatment facilities in rural Sri Lanka

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
SLCTR
Registry ID
SLCTR/2025/004
Enrollment
Unknown
Registered
2025-02-14
Start date
2025-02-21
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Snake envenomation in children

Interventions

Study settings: eight referral hospitals of the districts Ampara, Batticaloa, Monaragala, Anuradhapura, Polonnaruwa, Kurunegala, Kegalle, and Trincomalee. Resource limited paediatric treatment facil
however, they will not be exposed to the proposed intervention. Participant Medical officers in the intervention arm will join a half-day interactive workshop conducted by the Sri Lanka College of P

Sponsors

Department of Paediatrics, Faculty of Medicine, University of Kelaniya
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: All medical officers currently employed in paediatric wards of the eight referral hospitals of the districts Ampara, Badulla, Monaragala, Anuradhapura, Polonnaruwa, Kurunegala, Kegalle, and Trincomalee, who are willing share the newly acquired knowledge and training with fellow medical officers in the same treatment unit will be included in the study.

Exclusion criteria

Exclusion criteria: Medical officers who primarily work in non-paediatric treatment facilities in the same hospitals will be excluded.

Design outcomes

Primary

MeasureTime frame
Level of adherence to SLMA Expert Committee on Snakebites based national guideline while managing children with venomous snake bites by the participating hospitals in the intervention-arm and the control-arm [Immediately before and after the intervention. Long term impact will be assessed 1-year after the intervention. ]

Secondary

MeasureTime frame
Change in the participant medical officers’ knowledge regarding pictorial identification of snakes, evidence of envenoming, indication for antivenom therapy, regimen and dose of antivenom therapy, and management of antivenom adverse reactions, assessed using a questionnaire. [Immediately before and after the intervention. Long term impact will be assessed 1-year after the intervention. ] Improvement in mortality following venomous snake bites in children. Records will be individually verified and morbidity and mortality data be presented as descriptive data. [ During the period of 1-year before and for 1-year after the educational intervention is concluded]

Countries

Sri Lanka

Contacts

Public ContactKavinda Dayasiri

Professor in Paediatrics

kavindad@kln.ac.lk0718460130

Outcome results

None listed

Source: SLCTR (via WHO ICTRP) · Data processed: Aug 10, 2026